Organization · Type 2 NPI
My Obgyn PC
Specialist · Riverdale, GA
NPI number
1669534210
Active
Practice location
81 Upper Riverdale Rd, Suite 210
Riverdale, GA 30274-2627
Fax (770) 907-7492
Mailing address
PO Box 962380
Riverdale, GA 30296-6921
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 044077 (GA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2 other providers at this address
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About NPI 1669534210
My Obgyn PC's National Provider Identifier is 1669534210, issued on Dec 13, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Riverdale, GA. The record was last updated on Nov 9, 2012.